<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional/EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">

<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="ja" lang="ja">

<meta http-equiv="content-style-type" content="text/css">
<meta http-equiv="content-script-type" content="text/javascript">
<meta name="keywords" content="">
<meta name="description" content="">

<link href="css/default.css" rel="stylesheet" type="text/css" media="all">
<link href="css/style.css" rel="stylesheet" type="text/css" media="all">
<script type="text/javascript" src="js/jquery-1.7.1.js"></script>
	
	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
		<title>今日のベルギービール / Today's Belgian Beer</title>
	</head>

	<body>
		<div style="width:600px;">
		<script type="text/javascript" src="js/qa.js"></script>
		
		<div><img src="images/check_header.jpg" alt="" style="cursor: auto; "></div>
		
		<form action="result.php" method="post" id="qForm">

		<div class="check bg">
		<div class="bd">

		<input type="hidden" name="q1" value="" class="postdata">
		<input type="hidden" name="q2" value="" class="postdata">
		<input type="hidden" name="q3" value="" class="postdata">

		<ol class="list">
		<li class="q1">
		    <a href="#"><img src="images/btn_check1_off.gif" alt="YES" id="Image1"><input type="hidden" name="cid" value="1"></a>
		    <a href="#"><img src="images/btn_check2_off.gif" alt="NO" id="Image4"><input type="hidden" name="cid" value="2"></a>
		    <a href="#"><img src="images/btn_check3_off.gif" alt="NEITHER" id="Image7"><input type="hidden" name="cid" value="3"></a>
		</li>
		<li class="q2">
		    <a href="#"><img src="images/btn_check1_off.gif" alt="YES" id="Image2"><input type="hidden" name="cid" value="4"></a>
		    <a href="#"><img src="images/btn_check2_off.gif" alt="NO" id="Image5"><input type="hidden" name="cid" value="5"></a>
		    <a href="#"><img src="images/btn_check3_off.gif" alt="NEITHER" id="Image8"><input type="hidden" name="cid" value="6"></a>
		</li>
		<li class="q3">
		    <a href="#"><img src="images/btn_check1_off.gif" alt="YES" id="Image3"><input type="hidden" name="cid" value="7"></a>
		    <a href="#"><img src="images/btn_check2_off.gif" alt="NO" id="Image6"><input type="hidden" name="cid" value="8"></a>
		    <a href="#"><img src="images/btn_check3_off.gif" alt="NEITHER" id="Image9"><input type="hidden" name="cid" value="9"></a>
		</li>
		</ol>
		<div class="agree"><input id="diagnosis" name="diagnosis" type="checkbox" value="1" checked=""><label for="diagnosis">&nbsp;&nbsp;結果をウォールに投稿します。
		</label></div>
		<div class="check_button">
		<a href="#" id="btn_submit"><img src="./images/btn_tellme_off.gif" alt="診断する" id="Image19"></a>
		</div>
		</div>
		<div><img src="images/check_footer.jpg" alt="" style="cursor: auto; "></div>

		</div>
		</form>
		</div>
	</body>
</html>
